DEPARTMENT OF INSURANCE

Affiliations

Name	Heitz, Shaun	DOIID	918565	NAIC NPN	17977272

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/12/2024	10/1/2025
Inactive	Resident	Agent	Health	8/12/2024	10/1/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	8/17/2020	4/6/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/17/2020	4/6/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	8/17/2020	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	4/23/2019	9/15/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	4/23/2019	9/15/2023
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	11/18/2019	10/1/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	12/12/2018	7/10/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/1/2022	7/9/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/12/2021	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/1/2018	4/11/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/1/2018	4/11/2019
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	6/24/2016	10/12/2016
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	6/24/2016	10/12/2016
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	6/24/2016	10/12/2016
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	6/24/2016	10/12/2016
Inactive	Columbian Life Insurance Company	300810	Agent - Life	5/15/2019	11/1/2023
Inactive	Combined Insurance Company of America	301472	Agent - Health	10/17/2016	4/18/2017
Inactive	Combined Insurance Company of America	301472	Agent - Life	10/17/2016	4/18/2017
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/20/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/17/2020	4/6/2023
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/19/2017	6/18/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/22/2017	8/10/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/22/2017	8/10/2019
Inactive	Great Western Insurance Company	501693	Agent - Life	8/2/2021	10/1/2023
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/24/2017	10/1/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/24/2021	7/22/2022
Inactive	Royal Neighbors of America	301646	Agent - Life	9/20/2019	6/3/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	11/29/2022	10/1/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/5/2021	10/1/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/5/2021	10/1/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/4/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/4/2019	10/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/21/2017	10/1/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/21/2017	10/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/3/2018	4/11/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/3/2018	4/11/2019